CME Information: Video DischargeInstructions for Acute Otitis Media inChildren: A Randomized ControlledOpen-label TrialContinuing Medical Education in Academic Emergency Medicine (2019)
Thirty percent of children with acute otitis media (AOM) experience symptoms<7 days after initiating treatment, highlighting the importance of comprehensive discharge instructions.
We randomized caregivers of children 6 months to 17 years presenting to the emergency department (ED)with AOM to discharge instructions using a video on management of pain and fever to a paper handout. The primary outcome was the AOM Severity of Symptom (AOM-SOS) score at 72 hours post discharge. Secondary outcomes included caregiver knowledge (10-item survey), absenteeism, recidivism, and satisfaction (5-item Likert scale).
A total of 219 caregivers were randomized and 149 completed the 72-hour follow-up (72 paper and 77video). The median (IQR) AOM-SOS score for the video was significantly lower than paper, even after adjusting for pre-intervention AOM-SOS score and medication at home (8 [7–11] vs. 10 [7–13], respectively; p=0.004). There were no significant differences between video and paper in mean (SD) knowledge score (9.2 [1.3] vs.8.8 [1.8], respectively; p=0.07), mean (SD) number of children that returned to a health care provider (8/77vs. 10/72, respectively; p=0.49), mean (SD) number of daycare/school days missed by child (1.2 [1.5] vs. 1.1[2.1], respectively; p=0.62), mean (SD) number of workdays missed by caregiver (0.5  vs. 0.8 ,respectively; p=0.05), or median (IQR) satisfaction score (5 [4–5] vs. 5 [4–5], respectively; p=0.3).
Video discharge instructions in the ED are associated with less perceived AOM symptomatology compared to a paper handout.
Citation InformationSheena Belisle, Andrei Dobrin, Sharlene Elsie, Samina Ali, et al.. "CME Information: Video DischargeInstructions for Acute Otitis Media inChildren: A Randomized ControlledOpen-label Trial" Continuing Medical Education in Academic Emergency Medicine (2019)
Available at: http://works.bepress.com/naveen-poonai/9/